跟骨截骨联合kidner手术治疗副舟骨源性平足症疗效研究  

Study on the efficacy of calcaneus osteotomy combined with kidner's operation in the treatment of patients with accessory navicular Plantar Syndrome

作　　者：周进 袁锟[1,2] 王飞 邱小锋[1,2] 周小钢 ZHOU Jin;YUAN Kun;WANG Fei;QIU Xiaofeng;ZHOU Xiaogang(Department of Orthopaedics,The Second Affiliated Hospital of Nantong University,Nantong 226000,China)

机构地区：[1]南通大学第二附属医院,江苏南通226000 [2]南京医科大学康达学院南通临床医学院骨科

出　　处：《包头医学院学报》2022年第9期15-19,共5页Journal of Baotou Medical College

基　　金：南通市卫健委面上课题(MB2020005);南通市科技局指令性课题(JC2020019)。

摘　　要：目的:探讨跟骨截骨联合kidner手术治疗副舟骨源性平足症患者的应用方法及临床效果。方法:选取2016年1月-2020年12月本院收治的副舟骨源性平足症患者30例,均接受跟骨截骨联合kidner手术治疗,治疗后进行6个月随访,比较患者术前和末次随访的各项临床指标。结果:30例副舟骨源性平足症患者在术前的T1M1角(16.5±1.9)°、TCA角(20.7±2.4)°、Meary's角(10.6±1.6)°、Pitch角(13.2±0.9)°、Kite角(42.6±1.6)°、VAS(5.2±1.0)分和Maryland足功能评分(46.9±4.3)分,患者末次随访的T1M1角(8.6±1.6)°、TCA角(11.1±1.6)°、Meary's角(4.6±0.9)°、Pitch角(22.7±2.1)°、Kite角(37.7±0.9)°、VAS评分(2.1±0.7)分和Maryland足功能评分(92.0±1.7)分,差异均具有统计学意义(P<0.05)。该种方法的临床治疗安全性相对较高,所有副舟骨源性平足症患者的切口位置均为Ⅰ期愈合。结论:采用跟骨截骨联合kidner手术方法,可以显著改善副舟骨源性平足症患者的各项临床指标,明显缓解患者疼痛,治疗安全性高,值得在临床治疗工作中进一步推广。Objective:To investigate the application and clinical effect of Calcaneus osteotomy combined with kidner's operation in the treatment of patients with accessory navicular Plantar Syndrome.Methods:A total of 30 patients with accessory navicular Plantar Syndrome from January 2016 to December 2020 were selected as the study subjects.All patients received Calcaneus osteotomy combined with kidner's operation,and were followed up for 6 months after treatment.All the 30 patients were compared with each clinical index of preoperative and final follow-up.Results:After data analysis can be found,pREOPERATIVE T1M1 angle(16.5±1.9)°,TCA angle(20.7±2.4)°,Meary's angle(10.6±1.6)°,Pitch angle(13.2±0.9)°,angle angle(42.6±1.6)°,Vas score(5.2±1.0)and Maryland foot function score(46.9±4.3)in 30 patients with accessory navicular Plantar Syndrome,there were significant differences in the scores of(8.6±1.6)°,(11.1±1.6)°,(4.6±0.9)°,(22.7±2.1)°,(37.7±0.9)°,(2.1±0.7)°and(92.0±1.7)with the last follow-up data(P<0.05).Moreover,the clinical safety of this method is relatively high,all patients with accessory navicular Plantar Syndrome incision site for Phase I healing.Conclusion:Calcaneus osteotomy combined with kidner's operation can significantly improve the clinical indexes of patients with accessory navicular Plantar Syndrome and relieve the degree of pain,so that patients with accessory navicular Plantar Syndrome have a good treatment experience,it is worthy of further promotion in the future clinical treatment.

关 键 词：跟骨截骨 kidner手术 副舟骨源性平足症 

分 类 号：R687.3[医药卫生—骨科学]